May 2014

2 / Spider-Man swings in 4&5 / World Cup fever 6 / UCLH web on the move Inside Story_May_2014.indd 1

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News

Transforming urgent care

Meet the team Produced and designed by: The Communications Department Front cover photo: Spider-Man – sporting the actual costume from the Amazing Spider-Man 2 film – visited staff and patients on T11. Spider-Man is pictured with nurse educator Nicola Baldwin just days before the World Premiere in Leicester Square. Inside Story magazine is published by UCLH (University College London Hospitals NHS Foundation Trust) for our staff

Contact us If you have any information you would like included in Inside Story, or on Insight, contact: Communications Unit, 2nd Floor Central, 250 Euston Road, London NW1 2PG. Email: communications@ uclh.nhs.uk, Tel: ext 79897, Fax: ext 79401. Visit us online at: uclh.nhs.uk

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The summer has barely begun and it seems too early to be planning for the cold winter months. But that ‘cycle of planning’ is precisely what is needed if UCLH is to ensure that we deliver top quality, efficient, patient-centred care every day. A series of workshops this month gave UCLH staff the chance to have their say about a new programme set up to redesign services for urgent care patients. The workshops captured feedback about how we care for patients from the moment they arrive on site to their journey home. More patients than ever are attending UCLH and the challenge to achieve quarterly and annual emergency access target gets more difficult every year. This is compounded during the winter when attendances rise and sicker patients require longer and more complex stays, reducing the available bed capacity. Dr Jonathan Fielden, medical director for the medicine board, is chairing a project board to transform the urgent care pathway - removing delays, ensuring no time (or money) is wasted and delivering the best possible care to patients. There will be three initial areas of focus: Emergency Department transformation; ambulatory care as our default mode for urgent medical patients; and care for frail elderly patients.

Jonathan said: “This project is about delivering the right care, at the right time, in the right place. It is about improving how we work as a trust but also about aiding better healthcare and self-management by our population.” Jonathan added that the ‘default mode’ for patients coming to UCLH for urgent care should be ‘ambulatory’ – in other words ‘keeping them mobile’ and only admitting patients where there is no alternative. Leading this exciting development is Dr Nicoletta Gaston, acute medical unit clinical lead (pictured): designing a service where the majority of patients do not need to be wearing a hospital gown in a hospital bed. Instead patients should have access to a ‘one stop shop’ where they are seen quickly by senior decision-makers, receive the relevant diagnostics, return home quickly and come back to hospital a few days later if needed. Jonathan added: “We want to create a compeling narrative, we want colleagues from across UCLH and out patients to help us redesign the urgent care pathway into something that will resonate across the organisation.” There will be more workshops over the coming weeks – see Insight for more details.

09/05/2014 11:59:23

News

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‘Ice wand’ is magic for patients For the first time in the UK, a freezing biopsy tool has been used to successfully collect tissue samples deep inside the lung to diagnose a rare and life-restricting condition – without the need for surgery and as a day case procedure. The cyroprobe is guided with the help of a bronchoscope – a camera inserted through the mouth into the lungs. Liquid nitrogen was then passed through the inside of the probe to cool the tip to -89°c. This freezes surrounding lung tissue and causes it to stick to the end of the probe. The tissue is then pulled out through the patient’s mouth. The cryoscopic lung biopsy was performed at University College Hospital by Dr Theresia Mikolasch under the supervision of Dr Neal Navani. The size and quality of the tissue sample was far superior to samples normally collected by other minimally invasive methods. Diagnosis is quicker and simpler as traditional surgery is unnecessary. Dr Mikolasch said: “Normally a patient must undergo a surgical biopsy and spend days recovering in hospital, sometimes resulting in scarring and pain. In this case, the patient was ready to go home within four hours.” The patient was diagnosed with idiopathic pulmonary fibrosis, a condition in which lung tissue becomes thickened, stiff and scarred leaving the patient breathless and unable to carry out simple everyday tasks such as walking or getting dressed. There is no cure but various therapies can help manage the condition. The procedure has exciting implications for future research. Dr Theresia, UCLH Breathing Matters Clinical Fellow, said: “Sample quality is

crucial to our research programme as we can use lung tissue samples in laboratory based research projects. We are now planning a multicentre study to investigate the role of early cryoscopic lung biopsies.” The cryoscope and Dr Mikolasch, who has driven this project forward, were partfunded by charity Breathing Matters with a donation in memory of Ana Timberlake and by the Lawrence Matz Memorial Fund. Breathing Matters www.breathingmatters. co.uk, part of UCLH Charity, was established to raise funds for the UCL Centre for Respiratory Research.

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Follow us: @uclh @lasimmmm: it’s been a whole year since my operation, i thank God for keeping me here today and uclh for treating me @RuthSabrosa: Hooray! Just heard news of another amazing #natalhypnotherapy #VBAC at #UCLH. Congratulations Britta & Denis & welcome baby Frieda :) @FootyPhilWye: Cancer in all its forms breaks so many hearts. One day I’m sure the brilliant minds of medicine will beat it. Just one example, @uclh – fab. @ThBeatlesLyrics: Today in 1964, Ringo checks into London’s University College Hospital to have his tonsils removed the following day.

Top 10 objectives launched Improving patient safety and transforming the patient experience are key priorities for UCLH in the coming year. The new top ten objectives for 2014/15 reflect this direction of travel. Sir Robert Naylor, chief executive, said: “The objectives spell out quite clearly what we want to achieve over the next year. “Once again it is right that our top objectives are to improve patient safety and

Word on the Tweet...

deliver excellent clinical outcomes. “But at the same time we need to focus on providing a high quality patient experience and excellent customer service. We need to listen to what our patients are saying, make it easy for them to give us feedback and act on what they are saying to develop new standards and new ways of working so that we can get our service right the first time.” Go to Insight for more information.

@ZeenaBeale: @lymphoma Thanks for the follow. I was treated in London, by the fantastic @uclhhospitala leading hospital in the UK for cancer care. @FraserStainton: Massive thank you to everyone at @uclh for the last few days!! Really was in the best hands, everyone so caring and professional! #thankyou

09/05/2014 11:59:27

4 Spotlight

World Cup fever at UCLH

SPAIN

ENGLAND

Player to watch: Luka Modric. Best midfield player in the world. Will it make you feel bit home sick? Not really, but it will make me feel sick if Croatia lose. World Cup winner: I would love to say Croatia but I don’t think it’s going to happen. Argentina perhaps. Do you play football? Oh yeah every Sunday, hard tackling midfield Nives Pupovac manager deputy general player ;) If you were a professional which position would you like to play? Men would say striker because they always want to score, but I don’t.

Supporting: England of course! Player to watch: Assuming he is picked, Raheem Sterling. But most likely Wayne Rooney. I’ll be watching… I’m going to Brazil with a friend to watch Belgium v Russia in the Maracana and I’m staying in a tent for two nights in a fan park and have four nights in a hostel with a German and Argentinian fan. Not ideal for an England fan! Jonathan Ricketts analyst World Cup winner: performance senior Heart says England, head correctly says Germany. Dark horses would be Chile. If you were in the team, what position would you like to play? I used to pay right back for the county in Lincolnshire. It’s an unglamorous position – but you can see the whole pitch, the openings up ahead – and then smash the ball.

France

Croatia

Football fans across the globe are counting down the days: it’s less than one month until the 2014 World Cup kicks off in Brazil. Will England defy the odds… and win a match? Will the hosts Brazil reign supreme with their silky Samba skills? Can Spain make it two in a row? Or will an African nation hold the iconic trophy aloft for the first time? Forget your Linekers, your Hansens, your Keanes and your Ginolas. Inside Story asked UCLH staff for their predictions for the Greatest Football Show On Earth.

Player to wat Good. Long te is out and has Australia has got stronger o World Cups. I’ll be watchin TV will be on o Sport, Exercis World cup wi World Cup it w see Brazil win has an amazin and developm they will be re What position since childhoo

Picaut Nathalie nurse specialist

Supporting: I’ll be supporting France first, England second. I was born in Brittany and although I now consider London to be my home (I moved here in 1997) I do sometimes feel a little homesick. Player to watch: Franck Ribéry I’ll be watching... at home with my partner who’s Scottish or in the pub – it’s a good opportunity to socialise with colleagues after work. I like the atmosphere more than the game!

Prof Le

Consultanty Sander neurologist

Player to watch: Neymar – he will be wearing the Number 10 yellow jersey, made famous by Pelé and this always lays some extra pressure to perform. I’ll be watching… With friends at home or at the pub, hopefully with not that many Brazilian supporters around as they tend to be very noisy indeed! World Cup winner: Brazil as a host is a serious candidate but Spain is also a contender to watch. What position: I would have to be a striker rather than a goalkeeper. I always like to be in the front proactively rather than in the back holding the fort!

Ghana

Greece

BRAZIL

clinical

Player to watch: Kostas Mitroglou is a clinical goal scorer. He was signed up by Ful December but it was too keep them in the Premie World Cup winner: Bra the advantage as they p home but Spain should great chance too. What position: Goalke all starts from the num position! I used to play at school (and I have fibula to show for it) b Attilakos not played since. eorge G obstetrician consultant

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Nacho

Fetal medicine

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midwife

iannone Paola G practitioner operating

department

Supporting: England and Nigeria. I’ve lived here for 12 years and it feels like home but I also support the country where I was born. World Cup winner: Probably Brazil. Do you play football: My dad coached the village team in Nigeria and he passed his love of football to me. I now play five-a-side every Thursday at Finsbury Park with the guys from the cancer centre reception. I play well … five or six goals each time! Would you like to be a professional footballer? Perhaps at one time – but age is now not on my side. I like changing positions – goalkeeper, defence, striker. Kingsley Okorie

Ghana

Support: Ghana – my favourite African country in the World Cup Player to watch: André Morgan Rami Ayew has a great name – he is known as Ayew. as Bernard World Cup winner: divisional Denenga finance Belgium will be one to manager orer. watch, but I don’t think up by Fulham in they have enough depth it was too late to or firepower to beat Brazil or he Premier League! Argentina. inner: Brazil have Position: I would be an attacking e as they play at midfielder, the position allows ain should have a you to control play, work hard e too. and see the glory rather than on: Goalkeeper. It being a defender which seems m the number one to me a thankless task, a bit like sed to play football being an accountant always nd I have a broken gets the blame when it all goes ow for it) but have wrong! since.

Player to watch: Pirlo, midfield. He’s a master and directs the whole game. I’ll be watching… the Italy v England game. It will be an Italian gathering and as kick off isn’t until 11pm there will be plenty of time to eat and party beforehand. Who will win: Italy’s team isn’t the strongest – but we’ve got a chance. I just want us to beat England in our first match – so I don’t get stick from my colleagues! Thoughts on football: I like the spirit of football. It’s dynamic. It’s a beautiful game.

Nigeria

Nacho Rosas

Fetal medicine

Player to watch: Diego Costa, an adopted Brazilian who plays for Spain and is having a very good season in the ‘Spanish Premier League’ La Liga I’ll be watching… I’ll be celebrating the victory (ha ha!) in Trafalgar Square. I have a group of friends in London and we have been watching Spain for the last five to six years, since Spain won the European cup in 2008. World Cup winner: I want Spain to win but I think Brazil is the team to fear. Position: I would like to play at the front, scoring goals. I like the adrenaline when you score a goal, also the happiness to celebrate it with your team.

ITALY

Australia

yer to watch: Tim Cahill or Curtis od. Long term skipper Lucas Neill ut and has not been chosen… tralia has a great team and has stronger over the last three rld Cups. be watching… No doubt the will be on over at the Institute of rt, Exercise and Health! rld cup winner: As a home rld Cup it would be fantastic to Brazil win, but I think Spain Bruce Clinical Specialist Paton an amazing system of growth Physiotherapist development in their football and y will be really hard to beat. at position: Right wing or half as this is the position I’ve played e childhood – I like running!

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Russia

concierge

Maksim

Private

Patients

Mikhailov Services

Manager

Player to watch: Alan Dzagoev – he is young, hardworking, disciplined and fearless – a talented midfielder. Realistically I do not see Russia going past the quarters because there is just so much talent packed into this World Cup. World Cup winner: Spain as it is a golden age of football over there and their methodology and philosophy of grass roots football is fantastic. Brazil has a lot of pressure to perform – they may buckle. What position: They say the best feeling in football is scoring so I would probably play as a striker.

09/05/2014 11:59:49

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In the know

60-seconds with... Katherine Grainger

UCLH website goes mobile!

Inside Story caught up with London 2012 Gold medalwinning rower Katherine Grainger on a recent visit to the Institute of Sport, Exercise and Health. What has been the greatest legacy from the 2012 London Olympic and Paralympic Games? It’s probably something you couldn’t attach any facts or figures to. It’s the passion and pride that for me has continued in sport – and also in Britain. What’s the best perk of being a Gold medal winner? It’s not a perk it’s just actually being a Gold medal winner. I’ve sat in rush hour traffic, frustrated with the world but if you are a Gold medal winner it doesn’t seem so bad. Where do you keep your medal? I’m wondering where it is right now! Generally it’s still close to hand. When I go to places it’s probably more popular than I am! Aside from your medals, what’s your most prized possession? The black belt I got in karate. Who is your biggest sporting inspiration? Steve Redgrave and Matthew Pinsent. They were both in the rowing team when I got in and I saw first-hand what it took to be champions like they were.

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The UCLH website (www.uclh.nhs.uk) has been updated to make it easier to view and navigate on mobile devices – smart phones and tablets. With approximately 20% of visitors to the UCLH website coming from people using mobile devices, there is a growing need to deliver website information in a more accessible way to our patients. With that in mind UCLH has developed some mobile responsive style sheets which reformat the layout of our website depending on which device is being used to access it. The update will work best on the most popular devices and screen sizes available, such as iPad, iPhone, Samsung Tab, Windows Tablets and Google devices. It’s exactly the same information, just rearranged and optimised for each device. The website has over 140,000 unique visitors each month, viewing pages over 600,000 times. Warren O’Brien, web manager, said: “Mobile access to the web is more popular than ever and will continue to grow as more people rely on their smart phones and tablets to find information online. UCLH needs to be ready for this and ensure people have an easy, simple experience when looking for information on the website.” The website is updated daily and fully reviewed with our clinical services annually. Try it for yourself by visiting the website on your mobile device at www.uclh.nhs.uk.

Find my Patient ‘Find my Patient’ is the first UCLH app that links to our clinical systems. It is designed to help mobile clinicians find their patients swiftly and easily. Following successful beta testing with clinicians ‘Find my Patient’ is now available more widely. It is particularly useful for clinicians who work in a mobile manner, doctors in training, infection control nurses,

consultants, therapists. Consultant Richard Cohen describes himself as “its biggest fan”. The app works with any type of i-device (iPhone, iPad , iPad mini or iTouch). You need to install ‘MobileIron’ onto your device (search ‘BYOD’ on Insight for more information) and then click on the “Find My Patient” icon in the UCLH App Store and follow the instructions.

09/05/2014 11:59:51

In the know

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TB clinic closes its doors April marked the end of an era as the UCLH TB Clinic closed its doors to patients for the last time. Staff from the clinic marked the occasion with a ‘Demolition’ cocktail party. UCLH has teamed up with other health providers to launch a new TB network for north central London with two TB ‘hubs’ – one in the north of North Central London and one in the south. The ‘South Hub’ will run from a brand new, purpose built clinic at the Whittington Hospital, incorporating the clinic formerly based at UCLH’s Rosenheim building.

What a Good Friday Meet Isobel Lara Rose – UCLH’s very own Easter baby. Sarah Logan, UCLH consultant in infectious diseases and general medicine, gave birth to little Isobel at 11.53pm on Good Friday. Sarah, pictured with midwife Natasha McDonald, said: “Everybody at the EGA Wing was fantastic throughout my pregnancy and I felt very proud and lucky to be working in a place with such great staff.”

CHARITY FUN RUN! SUNDAY 29 JUNE 2014 REGENT’S PARK, LONDON

@TheISEH

ISEH 5K charity fun run

This is the second year of the Institute of Sport Exercise and Health (ISEH) 5k Charity Fun Run. It is also the ISEH's first birthday so please come and celebrate with us and take part in this fun run within the beautiful and iconic setting of London's Regent’s Park in aid of UCLH Charity.

Start Time: 9.30am - Sunday 29 June

Location: Celebrate the Institute of Sport, Exercise and Health (ISEH) first anniversary The Hub, Regent’s Park, London, NW1 4RU by taking part in their 5K charity fun run and raise funds for UCLH Charity. Sign up today at www.iseh.co.uk and let’s all get active! Set in Regent’s Park it is taking place on Sunday 29 June. The race Entry Fees: kicks off Adults - £10 at 9.30am. Entry fees EmilyyouBrown ext(under 72847 If youare wouldapplicable like to raise money–incontact aid of UCLH Charity can do so on Children 16) - £5 for more information. via the UCLH Charity JustGiving page: www.justgiving.com/uclhc Team entry - £25

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09/05/2014 12:00:04

8 Inside out

Secret lives Jolly japes, midnight feasts and madcap schemes at Malory Towers. Horrid teachers, pillow fights in the dorms… and lacrosse. Childhood memories, Enid Blyton style. But Orla McCourt, a physiotherapist at University College Hospital, says time has moved on. “People tend to associate the sport with a posh girls’ school but that’s no longer accurate. It’s a great game and played by all sorts of people and where I come from in Ireland it is a fast growing university sport.” It’s similar to hockey: there are 12 players in each team, a goal at each end of the field and a stick. But, instead of whacking the ball, players scoop it up, cradle it in a small net before running and passing it to a team mate. “You have to keep jiggling the stick to stop the ball falling out and, although its non-contact, other players can hit your stick to try to make you wobble and lose possession of the ball. Players tend to be outgoing and competitive – you’ve just got to get stuck in!” Orla has the bruises to prove it.

Men’s lacrosse is even tougher and they are kitted out with helmets and gloves to protect them from testosterone – fuelled tackles. The sport has taken Orla overseas. “I have played at European Championships in Finland and Amsterdam and at World Cups in Prague and Canada,” she said with pride. First played by Native Americans in the 1600s, lacrosse was then known

as Tewaarathon meaning ‘Little Brother of War’ and was thought to have been part of religious ritual and a way to prepare for battle. Each game is believed to have attracted thousands of players who would roam huge open areas of countryside. It took a few hundred years before it crossed the Atlantic – to Scotland. St Leonards School, in St Andrews, claims to be the

first girls’ school to have played lacrosse in 1890, after the headmistress Miss Lumsden, declared it a ‘beautiful and graceful’ game. Orla agrees: “It’s a great game and a genuine team sport – and when we travel to games and competitions there’s lots of fun and camaraderie.” It seems lacrosse is one game that could run… and run.

Archive The night nursery at the Obstetric Hospital on Huntley Street (now the University College Hospital Macmillan Cancer Centre) in the 1930s. The hospital opened in 1926 and included delivery wards, nurseries, an operating theatre, laboratories, an antenatal and a gynaecological ward. It was the most modern of its kind in Britain and was a turning point in the development of the teaching and practice of obstetrics and midwifery at University College Hospital.

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09/05/2014 12:00:07